Rotunda’s Private Care Push

A fierce debate rages at Rotunda Hospital over consultants on public-only contracts offering private services — a move the hospital backs as patient choice, but the HSE and Health Dept fiercely oppose, warning it misuses public funds. Rooted in Sláintecare’s goal to purge private practice from public hospitals, the issue exposes a loophole: half the obstetric consultants still hold older contracts permitting private work — until they retire or switch. With Ireland’s last private maternity hospital shuttered in 2014 and new hospital plans stalled, the Rotunda’s cramped expansion efforts highlight systemic gaps. While maternity care has improved, true choice remains tied to wealth — and a new national strategy may finally bridge that divide.

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